||[Jul. 20th, 2007|02:27 am]
Hey - new to the community, but not new to nursing or psych. I've probably been doing this for about 20 years too long.
I'm actually at work right now, and I'm frustrated as hell. We have patients who manipulate, and attempt to staff split - and I'm working with a relatively new nurse who allegedly was in counseling (like conducting some sort of talk therapy group) in psych prior to becoming an RN.
She's actually a very bright person, but she just does not understand the concept of limit setting. She gives me the hairy eyeball every time I tell a patient "no - and this is why". It isn't like I arbitrarily make things up, or that I'm "punishing" people. I'm just following the treatment plan, and not allowing manipulation to waste the time our patients are "inpatient", you know?
I've talked to her gently about this. And I've been more blunt/direct. I've given her resources. And still, with the evil looks when I follow the behavioral plans and stick to the unit rules like glue. I hate to go to the boss. I mean, I really hate to go to the boss. I like being able to tell her that we have problem solved and worked through our stuff and made things work. At this point, I'm not sure what else I could do. Anyone else deal with this sort of thing? Am I missing the glaringly obvious solution to the problem (other than letting the boss deal with it)?